Accounts Receivable Customer Service

SYLVIA CARRILLO

Rosharon, TX *****

979-***-**** ****************@*****.***

Dedicated administrative and reimbursement specialist with over 10 years of clerical and accounts receivable experience, including 3 years focused on third-party reimbursement for Medicare, Medicaid, and private insurance. Skilled in managed care plan processes, insurance verification and authorizations, financial data entry, and medical document management. Proven ability to support office managers and coordinators with scheduling, customer service, and supply management. Bilingual in Spanish, SAMA- and CPR-certified, with a strong record of delivering accurate work and exceptional client support in fast-paced healthcare environments...

EXPERIENCE

REIMBURSEMENT COORDINATOR I

Texana Center 4910 Airport Ave, Rosenberg

2022 –2025

Reimbursement: Managing accounts receivable for third-party payers (Private Insurance/CHIP/Medicaid/Medicare) for the Behavioral Health, Early Childhood Education and Intellectual Developmental Disability and Children’s Center for Autism.

BUSINESS OFFICE SPECIALIST

Texana Center 2535 Cordes Drive, Sugar Land

2015 – 2022

Administrative: clerical/receptionist, customer service, financials, maintaining scheduler, requesting and processing medical records, collecting and making change, answering phone, reminder phone calls, date entry, assisting office manager and office coordinator setting appointments scanning client documents and order of office supplies.

ADMINISTRATIVE ASSISTANT

Brazos Bend State Park 21901 FM 762, Needville, TX

2006 – 2015

General office procedures, administrative, clerical procedures. Knowledge of business and program terminology, providing customer service, training new employees, handle cash and account for revenue collected, ordering Gift Shop items.

EDUCATION

National University GED

Alvin Community College

SKILLS & CERTIFICATIONS

Third-Party Reimbursement & Claims: Skilled in processing third-party payments, denials, and appeals to maximize reimbursement. Experienced in reviewing billing errors, duplicate charges, and missing remittance advice. Proficient in filing secondary claims, correcting claims, and ensuring compliance with payer contracts Cashflow planning and management

Insurance Verification & Authorizations: Expertise in reviewing coverage, resolving claim rejections, and facilitating reconsiderations for denials due to lack of authorization, out-of-network, or other payer issues.

Accounts Receivable & Financial Processing: Accurate entry and posting of payments, data entry of financials and services, and management of medical records and documents. Exceptional communication

Administrative & Clerical Support: Strong background in scheduling, correspondence processing, supply management, and project coordination. Skilled in assisting office managers and coordinators with aftercare, intake scheduling, and daily operations.

Technical Skills: Proficient in Microsoft Word, Excel, Outlook, and office equipment; adept at managing multiple projects with sound and timely decision-making.

Languages & Certifications: Bilingual (English/Spanish). Certified in SAMA, CPR, and KnowBe4 Cybersecurity.

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